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Ob/9O /90 <br /> -w ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY-- I,AI7.TRACKING u: ----------------------------- <br /> RECO <br /> ____________ _•_ __ _ _ <br /> RECORD off, DATE RECIEVED: <br /> `` -•-----•----------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> FP <br /> INVDICF_ __l <br /> --- ------------------------- <br /> 10624 <br /> FFTC LIVE AVENUE,7-8757 AKDALE,CA.95361 C`{ --- �OFFICE_(Z09}847-8757 QFAX -(249)547-7744 4—� 1 � CONTACT. ---E---1�-------------------------- <br /> CALD ORNIA CONTRACTORS LICENSE#657366/CLASS A ENGINEERING <br /> i �+ i1 II 1 I a r I -- ______ <br /> rI -111...:111 I- <br /> OB>1 --- ----------INVOICE 7! <br /> LAB.ANALYSIS REQUESTED <br /> SITE S <br /> CLE NT: coNsuLrwNT: AMPI:ING MAP <br /> W � �b <br /> W <br /> SITE NAME: PROJECT- <br /> J_ t 7 (� L 1 ' )b w'- <br /> ADDRFSS: L CITY: ST.: x p <br /> SAMPLER SIGNATURE.• E~ <br /> C <br /> a o <br /> SHWPED VIA: WAYBILL 4. 0 W <br /> ANALiE <br /> YSIS BY- <br /> Y' TURNAROUND s W a i <br /> Tom• �)r' DAYS [ <br /> q„�II W w w <br /> l� SAMPLE IlJ./ PATE TIME CONTAINERS TYPE MATRIX <br /> t.) ,11111: rI REMARKS/I��II?jj :Ellj� i}1'i L��II LAB.LD_ <br /> xa _ 3 ID <br /> L3S-7 <br /> 6) <br /> 7.) Q vi L 0"') >e <br /> $)I <br /> 9-) <br /> i U.) <br /> i1) <br /> l3) <br /> 1 S.) <br /> By., 9 R&�lVF]7 ar: Q SAMPLE INTEGRITY/CONDIa-AmTION <br /> a C�"5 fsa�++,vw�, RECEIvED COLD$INTACT i Yti s <br /> A r D,rr><rTa� 1 NO { <br /> natr+Wlcmb BY: �� �� i�- xECErvm BY: d AIR BUBBLErS 1N V.O.A,S / YES <br /> NO f UN S w. <br /> L)AMIlLMt <br /> CUSTODY SEALS INTACT / YES f NO f 1 NIA f 1 <br /> A1-7-]!'7QU>.S m BY: RECViVED aY. DATE ITRAE <br /> PRESERVATIVES USED I YES NO f <br /> r (SIGNATURE) rp O <br /> NOTE: PLEASE ARCH]VE THE SAMPLES SUDMTTTED FOR THE PULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. � (M.T.B.E.,T,A.M.E.,E.T.B-E.,D.I.P.E.,T.$A.) <br /> Q fl _o Tr cv nt a ntvc r`nr �r-rFn fFv n{r rTrF.n F.R.�ILD BLANKS COLLECTED 1N TFII:f u:Lb. <br />